At 22:06 +0000 on 16-12-1996, Mary Hawking wrote:
> In message <[log in to unmask]>, Dr Alan Hassey
> <[log in to unmask]> writes
> >Ross Anderson wrote:
> >
> >> There really needs to be an authentication protocol in place here but
> >> why should the NHS Executive bother so long as HAs get away with pushing
> >> people around?
> >>
> >> Ross
> >
> >Don't forget consent!
> >
> >It's to do with the NHS auditors & HM Treasury. They demand
> >authentication via audit trails & the right to check-up & "prove" that
> >claims are not fraudulant. After all - if you've got nothing to hide -
> >why should you care??? (As a HA Director said to me recently).
> Is this from the patients' or the practice's point of view?
> The *practice* may have "nothing to hide" in the sense that they have
> not submitted fraudulent claims, but how many HA Directors would want to
> risk their personal medical information being exposed to their staff?
> The system of checking , by inspection of the medical records rather
> than checking directly with the patient (itself fraught with
> difficulty..) means that inevitably the individual doing the checking
> will see medical information unrelated to the claim .. unless we change
> the format of the medical record completely.. which might,in itself,
> provide opportunity for fraud..
> I know that HA staff have a duty of confidentiality - as does everyone
> in the "NHS family"
> Wasn't this where we came in? ;->>
> Mary
> >
>
Question: The person who did the control, was he a physician?
If he was, there is a relatively small problem of courtisy
If he isn't, the problem is very big of confidentiality!
Gerard Freriks,huisarts, MD
C. Sterrenburgstr 54
3151JG Hoek van Holland
the Netherlands Telephone: (+31) (0)174-384296/ Fax: -386249
Mobile : (+31) (0)6-54792800
ARS LONGA, VITA BREVIS
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